Summary
Background
Hypospadias is the most common congenital urological deformity in males; however,
there is still no perfect solution or surgical method for one-stage operations to
fix proximal hypospadias with ventral penile curvature (VPC). We developed a fasciocutaneous
foreskin twin flap technique that can provide freestyle flap designs in hypospadias
repair.
Methods
A retrospective study including 26 patients was performed between January 2017 and
June 2020. The surgical procedures included VPC correction, skin flap design, transfer
and reconstruction. The urethra and shaft were reconstructed by twin flaps in one
stage. All patients were followed up until 12 months.
Results
All VPC cases were corrected after the operation. The fistula rate was 11.5% (3/26).
No meatal stenosis, urethral diverticulum, or stricture was observed. A total of 92.3%
(24/26) of patients were satisfied with their penis appearance.
Conclusions
The fasciocutaneous foreskin twin flaps provide freestyle designs in hypospadias repair,
which can achieve a one-stage operation for proximal hypospadias with low fistula
rates.
Keywords
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Article info
Publication history
Published online: October 16, 2022
Accepted:
October 11,
2022
Received:
December 22,
2021
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
